MR. RONNIE LEE JACKSON MD
NPI 1174500896
Internal Medicine - Pulmonary Disease in Springfield, TN

Q: What is Ronnie Jackson's NPI number?

The NPI number for Ronnie Jackson is 1174500896. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Q: What is Ronnie Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Ronnie Jackson was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 22, 2005PECOS Enrolled

100 NORTHCREST DR, SPRINGFIELD, TN 37172(615) 384-2411 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Ronnie Lee Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RONNIE LEE JACKSON MD (NPI 1174500896) is an individual pulmonary disease provider in Springfield, Tennessee, licensed in Tennessee (MD020868) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174500896

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMR. RONNIE LEE JACKSONCredential: MD

Location Address100 NORTHCREST DRSpringfield, TN 37172-3927

Mailing Address100 Northcrest DrSpringfield, TN 37172-3927 · (615) 384-2411

Phone(615) 384-2411

Sole ProprietorYes

Enumeration DateDecember 22, 2005

Last NPPES UpdateDecember 14, 2015

✔ NPI 1174500896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TN · MD020868

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

100 NORTHCREST DR, Springfield, TN 37172

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Other Identifiers 3

Medicare ID-Type Unspecified3077609TN

Medicaid3077609TN

Medicare UPINF64643

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ronnie Lee Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

126 services44 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

103 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37172 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE MARIE BREEDLOVE APN

Nurse Practitioner (Family)